0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Correspondence |

Immune-Mediated Rippling Muscle Disease: Another Inflammatory Myopathy in Myasthenia Gravis—Reply

Shigeaki Suzuki, MD, PhD; Norihiro Suzuki, MD, PhD
Arch Neurol. 2010;67(7):896-897. doi:10.1001/archneurol.2010.125.
Text Size: A A A
Published online

Extract

In reply

We appreciate Dr Liewluck's comment on our study1 and for suggesting an important neuromuscular symptom in patients with MG. Rippling muscle is characterized by signs of muscular hyperexcitability, which can be induced by muscle stretch or percussion. In addition to the genetic form, rippling muscle is sometimes immune-mediated and observed in patients with MG. Certain types of autoantibodies, including those against striated muscle antigens and neuronal voltage-gated potassium channels (VGKC), are detected in the serum of these patients. We agree that rippling muscle can be an immune-mediated neurological symptom in patients with MG, although the frequency of this symptom in patients with MG is probably very low. However, we believe that rippling muscle is not directly associated with inflammatory myopathy in MG.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

July 1, 2010
Shigeaki Suzuki, MD, PhD; Norihiro Suzuki, MD, PhD
Arch Neurol. 2010;67(7):896-897. doi:10.1001/archneurol.2010.125.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

22 Views
3 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Myasthenia Gravis

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Myasthenia Gravis

brightcove.createExperiences();